COMMUNITY DENTAL OUTREACH, PLLC


Address: 3507 Jaime Zapata Memorial Hwy Ste 3, Laredo, TX 78043-4769
Phone: 9728327825

COMMUNITY DENTAL OUTREACH, PLLC (NPI# 1447690276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447690276
Entity Type Organization
Organization Name COMMUNITY DENTAL OUTREACH, PLLC
Other Organization Name IMAGINE DENTAL OF SOUTH LAREDO
Practice Address 3507 Jaime Zapata Memorial Hwy Ste 3
Laredo
TX 78043-4769
Practice Telephone 9728327825
Mailing Telephone 9728327825
Enumeration Date 2013-06-25
Last Update Date 2013-06-25
Authorized Official Name BRADLEY RICHENS (OWNER)
Authorized Official Telephone 9728327825
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Imagine Dental of South Laredo Doing Business As Name - Organization

Office Location

Street Address 3507 JAIME ZAPATA MEMORIAL HWY STE 3
City LAREDO
State TX
Zip Code 78043-4769

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992310973 Fernando Castaneda Md Pa Pediatrics 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 2020-09-15
1821466178 Stat Emergency Center LLC Clinic/Center 1023 Bob Bullock Loop, Laredo, TX 78043 2015-09-03
1033546601 Dm Casemanagement Services Social Worker 1115 Chihuahua, Suite C, Laredo, TX 78043 2013-09-27
1902239122 Joann Shin Dds Corporation Dentist 2420 Bob Bullock Loop, Laredo, TX 78043 2013-08-12
1851630123 Mirta Guajardo Occupational Therapy Assistant 3210 Loop 20 Ste. 5, Laredo, TX 78043 2013-02-06
1073862744 Miriam Elisabeth Pelto Occupational Therapist 3507 Jaime Zapata Memorial Highway, Ste. 10-b, Laredo, TX 78043 2012-09-10
1447542386 M & R Management LLC Respite Care 2801 E. Montgomery, Suite 205, Laredo, TX 78043 2011-05-11
1275831125 Diana Y Sanchez Speech-Language Pathologist 3210 Bob Bullock Loop, Bldg A Ste 4, Laredo, TX 78043 2011-03-02
1649591546 Palomitas 'r' Us Inc. Homemaker 7220 A Bob Bullock Loop Suite 302, Laredo, TX 78043 2010-06-15
1104092121 Juan E. Perez Occupational Therapy Assistant 3507 Jaime Zapata Memorial Hwy Ste 1and2, Laredo, TX 78043 2008-04-30
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215407143 San Dario Dental and Orthodontics Pllc Dentist 7305 San Dario Ave Ste 5, Laredo, TX 78045-7295 2018-12-04
1356834410 Tulio Alejandro Alvarado Dentist 6801 Mcpherson Rd Ste 225, Laredo, TX 78041-6403 2018-06-12
1801384623 Laredo Lhpd Dentist 5220 Mcpherson Rd Ste 101, Laredo, TX 78041-7323 2018-04-26
1306345269 Benjamin Garai Dentist 1400 Guadalupe St Ste A, Laredo, TX 78040-5316 2018-02-06
1396179065 Planet Oral Healthcare Zapata Dentist 2522 S Zapata Hwy, Laredo, TX 78046-6825 2013-08-29
1902239122 Joann Shin Dds Corporation Dentist 2420 Bob Bullock Loop, Laredo, TX 78043 2013-08-12
1154619088 Sergio Enrique Lopez Dentist 302 Bob Bullock Loop, Apt. 8101, Laredo, TX 78043-4265 2011-07-12
1174850978 Kmp Billing Services LLC Dentist 605 Hidalgo St, Laredo, TX 78040-6042 2009-11-16
1447493903 Silvia G Vargas Dentist 10124 Galisteo Dr, Laredo, TX 78045-6387 2009-04-14
1952543381 Matthew Adam Staat Dentist 1400 Guadalupe St, Ste A, Laredo, TX 78040-5315 2009-03-31
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Competitor

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City LAREDO
Zip Code 78043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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